NPI | 1568549723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA00783) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OR pa00783) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2024-05-30 |